06-102781city of Federal Wayt
ComMuntyDev9iopmentServices Buildtg - Single Family Perm* 6-6-46-12il-0040-
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: 253) 835-3050
Project Name: BROWN
Project Address: 421 S 304TH ST
Parcel Number: 232950 0040
Project Description: ADD - Enclose existing carport and adding garage. No plumbing/mechanical.
Owner
Applicant
Contractor
Lender
GREG BROWN
GREG BROWN
421 S 304TH ST
GREG BROWN
421 S 304TH ST
421 S 304TH ST
FEDERAL WAY WA 98003
421 S 304TH ST
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Census Category: 434 - Residential alt/add - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class: U
Construction Type: Type V - B
Accu anc Load:
1i6or Area (sq. ft.) 0 0 0
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Friday, June 6, 2008
Permit Issued on Tuesday, June 6, 2006
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: ADate: P
�% k
�r
THIS CARD IS TO&EMAIN 019 -
SITE -CITY Of Develop
4communityeetion Record
p ent Ins p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -102781 -00 -SF
Owner: GREG BROWN
Address: 421 S 304TH ST
FEDERAL WAY, WA 98003-4017
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order
as possible (read left to right, top to bottom). Please schedule
inspections as appropriate. Work must not
be covered until it is approved. Check with your
inspector if you are unsure about any of the inspections or the inspection sequence On-going inspections
are logged on the back of this card.
❑ Temp. Erosion Control (4365)
❑ Footings/Setback (4110)
❑
Foundation Wall (4115)
To be done prior to breaking ground
Approved to place concrete
Approved to place concrete
By Date
By P W Date . p
By
Date
❑ Drainage/Downspout (4040)
❑ Slab/Concrete Floor (4255)
❑
Underfloor Framing (4285)
Approved to backfill
Approved to place concrete
Approved to sheath floor
By Date
By Date 9.149-d
By
Date
❑ Floor Sheathing (4105)
❑ Shear Walls (4245)
❑
Roof Sheathing (4220)
Approved to install flooring
Approved to install siding
Approved to install roofing
By Date
By Date
By
Date
❑ Fire/Draft Stops (4095)
NOTE: Prior to scheduling a Framing (4120)
❑
Framing (4120)
Approved
inspection; Electrical, Plumbing & Mechanical
Approved to insulate
Rough -in and Fire/Draft Stop inspections must be
By, t� Date
signed -off and approved. IBC 109.3.4/UBC 108.5.4
B
S Date /
❑ Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
❑
Final - SWM (4375)
Approved to install wallboard
Ap ed to install mud & tape
Approved
By Date
B Date _�?.-
By
Date
❑ Final - Building (4050) ❑Temp. Erosion Maintenance (4370)
Approved Approved
By Date a By Date
CI" OF A RECENOD - 1)
0
F'ederaiWay JUN`a 6 ��� PERMIT l
COA/AIUMTYDBVBLOPABNf� OF FEDER
333ZS8MAVBI07-PAX773 -83 1 p LI CATI O N
FEDERAL WAY, WA 98063-9718 UILDING p
Z53-895-Z6p7• PAX Z53-835-2609
turonr, dtvo/1'edemtureu, mm
is
- an
will not be
R
SF'UF CO ME EL PL DE EN FP
ccepted. Please print leaiblu lin 1nisJ or tune.
SITE ADDRESS ,%-� J • �3j 6 y �p�5- Fe,4 Lr ( Wel WO • /'roolUITE/UNIT # .
ASSESSOR'S TAX/PARCEL # J ;2-t S U - v 0 q Q LOT SIZE (s])
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
IA—egaregpapef-&. ft tool deaoW.V
PROJECT• •
TYPE OF. PERMIT tO(BUMD111G . ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on thispermit only
,Fn C/0 S e- eA is J;rlca r'Gi i 6-r 4-- ah P7 P__
PROJECT NAME (Name of Business or Owner Last Name) - L J " 4.J Y)
PEOPLE•• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME PRIMARY PHONE
P116) �C3
MAILING ADDRISM� o (, J Y / 1 CITY,
,eL �r/1 ✓V 1%� , (Q�— "'
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
n •ef
U
( ) -
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
CELL PHONE'
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application) EXPIRATION DATE
RELATIONSHIP TO PROJECT
COMPANY NAME /
APPLICANT NAME
OFFICE PHONE '
U
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE'
RELATIONSHIP TO PROJECT
FAX NUMBER
L❑ Architect ❑ Tenant
0 Agent ❑ Other (Describe)
EXISTING USE _K 9S-,dPh G,e- PROPOSED USE vpSIS
EXISTING ASSESSED/APPRAISED VALUE $_ �, U U VALUE OF PROPOSED WORK $ y
SPRINKLERED BUILDING? 0 YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ; NO
WATER SERVICE PROVIDER A LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE PRIVATE (SEPTIC)
a
0
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
a . FT.
BASEMENT
F
/0/0
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE O CARPORT O
NUMBER OF FLOORS Es"00 PROPOSED
"•NEWHOMES ONLY" NUMBER OF BEDROOMS
TOTAI
ESTIMATED SELLING PRICE
1-/0
O
$
S 3
Indicate number of each type of f xture to be installed or relocated as part of this project. Do not include existing
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS '
DUCTS
BATHTUBS (or Tub/shower combo(
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES /
IAVS paw,omswa4
APORATNE COOLERS GAS LOO REFRIG. SYSTEMS
FS WOODSTOVES
FIREI' INSERTS RANGES MISC (Deacn'be)
FURNACES GAS WATER HEATERS
GAS PIPE OUTL
,4dWERS _ _ WATER CLOSETS (roaoq MISC (Describe)
SINKS \ DRINKING FOUNTAINS
SUMPS ,RAINWATER SYST
URINALS HOSE BIBBS
VACUUM BREAKERS ELECTRIC WATER HEATERS
I cert(fy under penalty of perjury that the information furnished by me is true and comet to the best of my knowledge, and further, that I
am authorised by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of
such claim), which may be made by tiny person, including the undersigned, and filed against the City of Federal Way, but only where such claim
arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application. _ ,'
NAME/TITLE
RELATIONSHIP TO PROJACT a Owner 0 Agent 11 Contractor 0 Architect OOther
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